Deductions & credits

The IRS generally recognizes two methods of tax-free distribution from an HSA:

  • ·         using a debit card or similar instrument to directly pay for medical expenses, and
  • ·         taking a distribution to repay yourself for medical expenses that you have already paid out of pocket. See “Distributions From an HSA” in Publication 969.

Using the debit card provides a paper trail for your medical expenses; however, since reimbursing yourself does not do so automatically, you are required to keep the documentation showing the amount you spent out of pocket on qualified medical expenses and the corresponding distribution to yourself to repay yourself.

An HSA is similar to an IRA. If you take money out of an IRA, it’s considered taxable income, even if it’s still sitting in your checking account unspent. The same applies to an HSA. You can’t take money out of an HSA in the expectation that some day you will spend it on medical expenses.

In your case, especially, the year ended without you spending the distribution on qualified medical expenses; that makes the whole amount less the $25 taxable.